NPIMap

Organization Active NPI

KKW Massage, Inc

  • Clinic/Center
  • Vancouver, WA
National Provider Identifier
1255571121
Registry record updated Mar 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
MA000015471 Issued in WA
Legal business name
KKW MASSAGE, INC
Practice address
7904 NE 6TH Ave
Suite C
Vancouver, WA 98665-8150
Phone
(360) 690-4114
NPI assigned
Mar 4, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Karen K WagnerNPI 1699823187
Title
President
Phone
(360) 690-4114

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X MA000015471 WA Primary

Addresses

Primary practice location

7904 NE 6TH Ave
Suite C
Vancouver, WA 98665-8150

Mailing address

7904 NE 6TH Ave
Suite C
Vancouver, WA 98665-8150
Phone (360) 690-4114

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1236124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236124800000",
    "number": "1255571121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7904 NE 6TH AVE",
            "address_2": "SUITE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658150",
            "telephone_number": "360-690-4114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7904 NE 6TH AVE",
            "address_2": "SUITE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986658150",
            "telephone_number": "360-690-4114"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KKW MASSAGE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-04",
        "last_updated": "2009-03-04",
        "status": "A",
        "authorized_official_last_name": "WAGNER",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-690-4114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "WA",
            "license": "MA000015471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.